Active NPI
Carol J Moseman, RN, RCS
- Registered Nurse
- Janesville, WI
National Provider Identifier
1164510988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 105320
- Practice address
- 1305 Camelot Dr
Janesville, WI 53548-1495 - Phone
- (608) 361-7053
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 105320 | WI | Primary |
Addresses
Primary practice location
1305 Camelot Dr
Janesville, WI 53548-1495
Mailing address
3303 S Afton Rd
Beloit, WI 53511-8749
Phone (608) 365-4375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38275500 | Other | WI | STATE PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105320 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164510988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 S AFTON RD",
"city": "BELOIT",
"state": "WI",
"postal_code": "535118749",
"telephone_number": "608-365-4375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 CAMELOT DR",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535481495",
"telephone_number": "608-361-7053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSEMAN",
"first_name": "CAROL",
"middle_name": "J",
"credential": "RN, RCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "105320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PROVIDER NUMBER",
"identifier": "38275500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.